Optimizing Encounter Operations and Submissions with Edifecs

AN EDIFECS CASE STUDY

Our customer is a nonprofit health insurer with a mission to improve health and well-being by providing access to high-quality, affordable, and equitable care for members in the Northeast. Submitting timely and accurate encounter data is essential to the plan’s success—but the plan’s previous encounter submission solution wasn’t getting the job done.

In this case study, we discuss how Edifecs Encounter Management (EM) helped our customer unify and consolidate their encounter data and achieve cross-product synergy between EM, Edifecs Retrospective Reviews, and even third-party chart retrieval solutions offered by other vendors. The result: A seamless, automated, and integrated system and a 98%+ acceptance rate.